| NPI | 1366912891 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5323) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-000783) | 
| Enumeration Date | 2018-11-27 | 
| Last Update Date | 2023-10-12 |