| NPI | 1659046555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 4638) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-19-69648) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-12-10 |