| NPI | 1942817077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-54079) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-19-94854) |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2024-04-30 |