| NPI | 1316500663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-25-80516) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-82217) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2025-04-19 |