| NPI | 1811490568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-56270) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 4670) |
| 106E00000X Assistant Behavior Analyst (Licence: TX 0-17-7864) | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2023-10-11 |