| NPI | 1528458841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 0-14-5946) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-15-19081) |
| Enumeration Date | 2015-01-24 |
| Last Update Date | 2015-07-14 |