| NPI | 1548734775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1311) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 1-21-50856) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2024-06-27 |