| NPI | 1134715097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-23-64483) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 106S00000X Behavior Technician (Licence: OH RBT-20-147441) | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2023-03-07 |