| NPI | 1659905503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-60408) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician (Licence: RBT-20-114063) | |
| Enumeration Date | 2020-03-01 |
| Last Update Date | 2022-07-18 |