| NPI | 1104424308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-24-75279) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2025-03-28 |