| NPI | 1750980223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-22-58734) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 4966) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2020-10-25 |
| Last Update Date | 2022-06-20 |