| NPI | 1518420132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-20-46686) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-19-82183) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2021-03-30 |