| NPI | 1013583590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-18-31549) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 2555) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-06-03 |