| NPI | 1306516463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-63082) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-21-185130) |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2025-04-30 |