| NPI | 1952074973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-62649) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-21-177065) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2022-11-28 |