| NPI | 1255769790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-12-12510) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1149) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2022-09-19 |