| NPI | 1275049264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-54526) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician (Licence: GA RBT-17-41812) | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2023-01-27 |