| NPI | 1710595400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 6239) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-20-128210) |
| Enumeration Date | 2020-07-19 |
| Last Update Date | 2023-10-09 |