| NPI | 1104382241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-21-48031) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-20-145741) |
| 156F00000X Technician/Technologist | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2021-07-19 |