| NPI | 1144624826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-14-9689) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1586) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2018-11-27 |