| NPI | 1982379657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-70465) |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: TX RBT-21-178954) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2024-01-15 |