| NPI | 1528644192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 6222) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-21-160879) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2023-09-11 |