| NPI | 1164066114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-37807) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 7205) |
| 103K00000X Behavior Analyst (Licence: MO 2017028783) | |
| Enumeration Date | 2019-11-02 |
| Last Update Date | 2024-07-31 |