| NPI | 1376086793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-33764) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: UT RBT-15-06331) |
| Enumeration Date | 2016-12-02 |
| Last Update Date | 2019-04-12 |