| NPI | 1205343829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-49880) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-16-27495) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2024-01-05 |