| NPI | 1962134395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-25-79635) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CA RBT-22-227679) |
| Enumeration Date | 2022-06-24 |
| Last Update Date | 2025-04-21 |