| NPI | 1215684378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-57474) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 4852) |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2024-09-15 |