| NPI | 1780172361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-22-60680) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106S00000X Behavior Technician (Licence: RBT-18-52918) | |
| 106S00000X Behavior Technician (Licence: TX RBT-18-52918) | |
| Enumeration Date | 2018-04-29 |
| Last Update Date | 2022-08-10 |