| NPI | 1578130522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 928) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: TN RBT-21-171312) | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2022-03-11 |