| NPI | 1932852803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-58175) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-22-202033) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2023-04-13 |