| NPI | 1386106623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-35351) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 2812) |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2024-01-11 |