| NPI | 1164089835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-25-72854) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 19-86155) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2024-06-05 |