| NPI | 1982193801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-49740) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-18-53999) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2021-10-06 |