| NPI | 1861075525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 4650) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-19-88717) |
| Enumeration Date | 2021-04-30 |
| Last Update Date | 2023-02-12 |