| NPI | 1508344789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3032) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: TX RBT-17-33360) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2019-10-03 |