| NPI | 1740767565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-61438) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA BACB445730) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2025-01-22 |