| NPI | 1649765439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 12046557) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: TX 01910670) |
| 106S00000X Behavior Technician (Licence: TX RBT-18-56622) | |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2020-12-16 |