| NPI | 1063181311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 4354) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA L-561) |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |