| NPI | 1164200150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 6557) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-20-144900) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2024-01-08 |