| NPI | 1538724778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 6218) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-23-67829) |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2025-01-20 |