| NPI | 1164295473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001239) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 6341) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2024-03-11 |