| NPI | 1588129910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3033) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-19-37495) |
| 106S00000X Behavior Technician (Licence: TX RBT-18-56356) | |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2020-04-03 |