| NPI | 1538751185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA LBA001048) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-23-67520) |
| 106S00000X Behavior Technician (Licence: GA RBT-21-154576) | |
| Enumeration Date | 2021-02-05 |
| Last Update Date | 2026-08-24 |