| NPI | 1205470960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA LBA001339) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-75523) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2026-09-07 |