| NPI | 1215422811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-001278) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 4464) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2024-10-15 |