| NPI | 1376124347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-60721) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-21-163034) |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2022-08-03 |