| NPI | 1619581485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 1-21-50814) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2021-09-09 |