| NPI | 1780175984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-19-36310) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-17-35100) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2020-01-08 |