| NPI | 1386151470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-28428) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-17-28428) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2021-02-18 |