| NPI | 1205573722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-25-79946) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2025-10-21 |