| NPI | 1144888124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-22-57976) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 17-47033) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2022-02-16 |