| NPI | 1225636780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 1-23-68017) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: WY RBT-20-140204) |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2023-09-19 |