| NPI | 1508467572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-59692) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-20-139240) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2022-06-23 |