| NPI | 1184182172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-53736) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-18-69705) |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2022-08-31 |