| NPI | 1487205308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3766) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-18-48883) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2021-10-01 |