| NPI | 1497309165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3562) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: TX RBT-19-93627) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2020-11-11 |