| NPI | 1962064014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-21-49607) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2021-05-05 |