| NPI | 1164809117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 11355362-2506) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: UT 11355362-2507) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2022-04-01 |