| NPI | 1477109866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 4801) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: 1995607) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2022-03-02 |