| NPI | 1437659224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-57183) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 4774) |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2024-05-07 |