| NPI | 1710690615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-24-73116) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2024-05-23 |