| NPI | 1578056339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3553) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-15-04761) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2020-08-09 |