| NPI | 1417617945 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-75729)  | 
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-21-197846)  | 
| Enumeration Date | 2021-12-24 | 
| Last Update Date | 2024-10-03 |