| NPI | 1134614068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-60738) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 5249) |
| Enumeration Date | 2018-06-23 |
| Last Update Date | 2022-08-12 |