| NPI | 1497221386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-23-67244) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-23-67244) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2023-08-23 |