| NPI | 1134848468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5218) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-22-60423) |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |