| NPI | 1922514389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 2516) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-18-32307) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2024-04-15 |