| NPI | 1275000408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-20-42636) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-15-04796) |
| Enumeration Date | 2018-10-25 |
| Last Update Date | 2020-06-26 |