| NPI | 1710468053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 16651) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: MD RBT-18-73194) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2025-02-04 |