| NPI | 1902596067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-71875) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2024-04-11 |