| NPI | 1902495682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-24-77419) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT20119991) |
| 106S00000X Behavior Technician (Licence: CA RBT20119991) | |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2024-12-04 |