| NPI | 1265940555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-20-42957) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: TX 8699) |
| 106S00000X Behavior Technician (Licence: TX RBT-16-13994) | |
| Enumeration Date | 2018-01-20 |
| Last Update Date | 2020-06-28 |