| NPI | 1720561293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-56131) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-18-50084) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2023-04-03 |