| NPI | 1568184760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-23-69563) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: IN 19-108535) |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2025-03-03 |