| NPI | 1194390286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-74119) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA BACB563650) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2024-07-30 |