| NPI | 1083065577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-16-24357) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 0-16-7194) |
| Enumeration Date | 2016-06-26 |
| Last Update Date | 2022-07-21 |