| NPI | 1093115008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX BCaBA0-11-4052) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL BCaBA0-11-4052) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2023-12-07 |