| NPI | 1942874813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-23-67491) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-21-165921) |
| Enumeration Date | 2021-05-16 |
| Last Update Date | 2023-09-07 |