| NPI | 1265195515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 2227) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: GA RBT-21-188786) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2026-04-23 |