| NPI | 1194203083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-20-42992) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-17-43522) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2020-07-20 |