| NPI | 1144687286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 4728) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 28126443) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2022-01-06 |