| NPI | 1376919852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: TN 23-253052) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 103K00000X Behavior Analyst (Licence: MA 1869) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-01-11 |