| NPI | 1760033963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: TX 10413) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2021-01-29 |