| NPI | 1710484092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 7349738-2506) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-04-12 |
| Last Update Date | 2020-11-12 |