| NPI | 1407259005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 1-17-27668) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2014-09-27 |
| Last Update Date | 2020-02-21 |