| NPI | 1114428687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 2541) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-16-15316) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2020-07-30 |