| NPI | 1770143810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 14051253-2506) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2024-06-27 |