| NPI | 1801566070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-23-65404) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 129651) |
| 106S00000X Behavior Technician (Licence: TX RBT-20-129651) | |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2023-05-03 |