| NPI | 1457960387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 4865) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-18-68049) |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2022-03-21 |