| NPI | 1710375423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-19-36621) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2020-08-31 |