| NPI | 1528417680 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: UT 11109001-2506) | 
| Additional Taxonomies | 103K00000X Behavior Analyst | 
| Enumeration Date | 2016-06-09 | 
| Last Update Date | 2024-11-13 |