| NPI | 1134852304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-23-65749) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2024-01-18 |