| NPI | 1548906928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-22-59202) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 5021) |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-05-09 |