| NPI | 1215278247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3537) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: TX 40201) | |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2021-08-23 |