| NPI | 1558941161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-61911) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-20-145409) |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2022-10-14 |