| NPI | 1861045130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5055) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-19-92438) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2022-05-25 |