| NPI | 1043082746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-23-69144) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 6390) |
| Enumeration Date | 2023-10-25 |
| Last Update Date | 2023-10-29 |