| NPI | 1649547076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-20-46323) |
| Additional Taxonomies | 2470A2800X Technician, Health Information, Assistant Record Technician |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2021-06-18 |