| NPI | 1144731126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 832) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-20-114322) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2023-05-08 |