| NPI | 1457986374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-23-65621) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-103221) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2023-05-09 |