| NPI | 1588259931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: GA RBT-21-159032) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-23-66671) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2023-07-14 |