| NPI | 1356950828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-20-46530) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: GA RBT-17-46916) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2022-10-13 |