| NPI | 1669023099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-54104) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-19-99735) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2021-10-28 |