| NPI | 1750925046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA LBA003017) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-98272) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2026-08-02 |