| NPI | 1770258311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-24-75008) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-21-192742) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2024-08-14 |