| NPI | 1427462571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-11-9701) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1137) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2022-01-14 |