| NPI | 1215497094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 0-18-9351) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: TX 2682) |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2023-04-10 |