| NPI | 1295291433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-50900) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: RBT-17-42936) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2021-07-14 |