| NPI | 1629638002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1193) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-20-45531) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2023-05-03 |