| NPI | 1700543501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 6124) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX BACB732804) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2024-10-22 |