| NPI | 1467148239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5701) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-23-64308) |
| Enumeration Date | 2023-04-14 |
| Last Update Date | 2023-04-14 |