| NPI | 1992377634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-22-59870) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 5123) |
| 106S00000X Behavior Technician (Licence: TX RBT-20-117363) | |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2023-02-08 |