| NPI | 1942853262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-55601) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-19-91223) |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2021-12-07 |