| NPI | 1275185563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-21-54108) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: CO RBT-19-92756) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2022-05-03 |