| NPI | 1346899390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-19-98401) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TH0100X Psychologist, Health Service | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |