| NPI | 1053138552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1698) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-22-219322) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-12-10 |