| NPI | 1154962587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-59214) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-18-51158) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2022-04-26 |