| NPI | 1831676949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-19-35375) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX 1619262) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2019-03-30 |