| NPI | 1730706623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-23-63469) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA RBT-20-125294) |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2023-01-23 |