| NPI | 1215357736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-14-15433) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1018) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2023-02-21 |