| NPI | 1629566716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-24-73281) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: TX 0-21-12391) |
| 106S00000X Behavior Technician (Licence: MI w425098210062) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2024-06-10 |