| NPI | 1225711385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 2325) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: TN RBT-23-263831) | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2026-07-09 |