| NPI | 1285392241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-22-59220) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-18-61670) |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2022-04-28 |