| NPI | 1578158010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT BACB559834) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: UT RBT-21-158900) |
| Enumeration Date | 2021-03-06 |
| Last Update Date | 2022-05-03 |