| NPI | 1457915951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3936) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-47505) |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2023-08-04 |