| NPI | 1689339012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-25-84020) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-21-192674) |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2025-09-14 |