| NPI | 1730704636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-20-44457) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-20-122954) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-09-16 |