| NPI | 1730566993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 10442803-2506) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2021-01-08 |