| NPI | 1619577525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-24-73768) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 20-142389) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2024-07-03 |