| NPI | 1053815902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-41953) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-15-09749) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2020-05-18 |