| NPI | 1689337404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN LBA1528) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-21-186624) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2024-05-01 |