| NPI | 1720579204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-57641) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician (Licence: RBT-18-56055) | |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2024-01-31 |