| NPI | 1265011670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 4822) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA BA61529098) |
| 106S00000X Behavior Technician (Licence: TX RBT-18-57528) | |
| Enumeration Date | 2021-04-04 |
| Last Update Date | 2024-06-25 |