| NPI | 1760021323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-52918) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-19-106485) |
| Enumeration Date | 2019-12-31 |
| Last Update Date | 2021-08-31 |