| NPI | 1528618691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-21-52450) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-19-95618) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2021-09-30 |