| NPI | 1104348127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 11822617-2506) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2020-08-11 |