| NPI | 1770068363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 4817) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 12257619) |
| 251S00000X Community/Behavioral Health (Licence: TX RBT-18-62717) | |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2023-06-07 |