| NPI | 1437793759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000747) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-17-25162) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2022-07-19 |