| NPI | 1942899265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-24-73421) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: GA 0-21-13068) |
| 106S00000X Behavior Technician (Licence: GA RBT-19-92772) | |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2024-06-12 |