| NPI | 1033627773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 2496) |
| 103K00000X Behavior Analyst (Licence: TX 3402) | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2021-08-23 |