| NPI | 1588305916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-76240) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-22-210796) |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2024-10-04 |