| NPI | 1407328255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3053) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-15-05390) |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2020-09-29 |