| NPI | 1104453646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-18-54063) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-06-18 |