| NPI | 1558856716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 1-19-35331) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-19-35331) |
| 103K00000X Behavior Analyst (Licence: TX 8067) | |
| 106S00000X Behavior Technician (Licence: TX 8067) | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2022-02-22 |