| NPI | 1710594999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-23-66901) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: RBT-20-138002) |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2023-07-21 |