| NPI | 1699379966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 12196707-2506) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: UT RBT-18-52574) |
| Enumeration Date | 2020-11-26 |
| Last Update Date | 2021-03-08 |