| NPI | 1801620125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA RBT-22-221530) |
| Additional Taxonomies | 171W00000X Contractor (Licence: GA RBT-22-221530) |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-09-09 |