| NPI | 1205445012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-86489) |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2025-07-09 |