| NPI | 1265038475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-23-64778) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst | |
| 106S00000X Behavior Technician (Licence: GA RBT-21-153954) | |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2023-04-19 |