| NPI | 1841988797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-26-2826099) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2026-06-30 |