| NPI | 1689147894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5375) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 19-75253) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2022-10-10 |