| NPI | 1134734619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-23-67327) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-20-134533) |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2023-08-08 |