| NPI | 1043843188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-55384) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 4636) |
| 106S00000X Behavior Technician (Licence: TX RBT-20-112154) | |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2021-11-20 |