| NPI | 1679205769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1204) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-22-207907) |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2023-02-27 |