| NPI | 1114392008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-16-21753) |
| Additional Taxonomies | 247000000X Technician, Health Information |
| Enumeration Date | 2015-12-03 |
| Last Update Date | 2016-04-01 |