| NPI | 1235728973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-48370) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-21-152158) |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2021-03-15 |