| NPI | 1447653647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-50578) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 4194) |
| 103K00000X Behavior Analyst (Licence: AZ BEH000862) | |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2022-10-18 |