| NPI | 1720691322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-49547) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN LBA799) |
| 106E00000X Assistant Behavior Analyst (Licence: IN 0-20-11075) | |
| 106E00000X Assistant Behavior Analyst (Licence: TN LABA25) | |
| Enumeration Date | 2020-08-25 |
| Last Update Date | 2024-08-13 |