| NPI | 1356981823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3680) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1994430) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-10-12 |