| NPI | 1104227933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ 1-20-46767) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 6672) |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2024-03-05 |