| NPI | 1962977934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-52974) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-18-67276.) |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2023-05-30 |