| NPI | 1629611272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-23-67789) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 18-49721) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2023-09-11 |