| NPI | 1982343430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 12261196) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-21-177549) |
| Enumeration Date | 2022-06-02 |
| Last Update Date | 2022-09-14 |