| NPI | 1194481523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5545) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-22-62848) |
| 106S00000X Behavior Technician (Licence: RBT-20-112893) | |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2022-12-08 |