| NPI | 1508318759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AR 1-16-23128) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-16-23128) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2017-05-06 |