| NPI | 1205422136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 4639) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 00010707) |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2022-01-12 |