| NPI | 1366925513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 00002669) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 2669) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2023-03-14 |