| NPI | 1790422962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-63131) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-21-184436) |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2023-01-09 |