| NPI | 1639864325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-23-68661) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-22-204842) |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2023-10-05 |