| NPI | 1255964557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 0-19-9988) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 2937) |
| Enumeration Date | 2020-02-15 |
| Last Update Date | 2020-02-15 |