| NPI | 1912405259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 1-21-49623) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2021-05-12 |