| NPI | 1548923899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-71401) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-21-176728) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2024-02-22 |