| NPI | 1003322488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 2553) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-16-27751) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2021-01-25 |