| NPI | 1962968602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 4940) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-18-56876) |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2022-04-15 |