| NPI | 1821767054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-74082) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: GA 0-21-12939) |
| 106S00000X Behavior Technician (Licence: GA RBT-19-95214) | |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2024-07-12 |