| NPI | 1245886076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 4124) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-19-92607) |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2021-09-23 |