| NPI | 1619598612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 12152955) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA 18-49336) |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2025-10-24 |