| NPI | 1730791385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-61038) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: GA 0-21-13318) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2023-06-07 |