| NPI | 1992434161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-23-69994) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA 22-219180) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2023-12-18 |