| NPI | 1639747033 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-25-80174) | 
| Additional Taxonomies | 106S00000X Behavior Technician | 
| Enumeration Date | 2021-06-14 | 
| Last Update Date | 2025-03-24 |