| NPI | 1609375484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-23-69909) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2026-05-05 |