| NPI | 1568132330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-25-79866) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-21-189375) |
| Enumeration Date | 2021-09-14 |
| Last Update Date | 2025-03-14 |