| NPI | 1306627096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-78324) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-22-241445) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2025-01-14 |