| NPI | 1467779215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-05-2618) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1005) |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2023-10-24 |