| NPI | 1417543521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3820) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-20-46188) |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |