| NPI | 1073140976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 1-20-41989) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-1873084) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-05-06 |