| NPI | 1891325973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 572) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-18-50880) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |