| NPI | 1740854637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-59830) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA BACB540406) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2022-06-21 |