| NPI | 1639792658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 4315) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-20-113497) |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2021-08-10 |