| NPI | 1396383436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-68783) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-97222) |
| Enumeration Date | 2019-12-19 |
| Last Update Date | 2023-10-29 |