| NPI | 1811517915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-53168) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 1-21-53368) |
| 106S00000X Behavior Technician (Licence: GA RBT-19-85072) | |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2021-09-09 |