| NPI | 1619548898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-24-72520) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-21-174552) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2024-05-07 |