| NPI | 1114471414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician (Licence: UT RBT-16-22196) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2017-01-10 |