| NPI | 1861978132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-20-46606) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-18-49682) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2021-07-26 |