| NPI | 1972193027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1-23-66118) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TN RBT-21-150105) |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2023-11-03 |