| NPI | 1609478254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-26-86925) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2026-01-09 |