| NPI | 1639753643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 12259148) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-20-125377) |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2025-08-21 |