| NPI | 1710460621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 7634) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX PBSDFi020i7SaRo) |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2024-10-23 |