| NPI | 1558712091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 2718) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-16-22826) |
| Enumeration Date | 2016-06-27 |
| Last Update Date | 2022-10-14 |