| NPI | 1558080473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-60702) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-22-60702) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2024-12-05 |