| NPI | 1700109667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1485) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 1-24-71430) |
| 106S00000X Behavior Technician (Licence: TN RBT-21-160052) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2024-04-09 |