| NPI | 1407593122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-22-60808) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-22-215810) |
| Enumeration Date | 2022-05-14 |
| Last Update Date | 2022-08-19 |