| NPI | 1225607161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-75107) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-21-173012) |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2024-08-27 |