| NPI | 1568737138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1512) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-11-9680) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2020-01-28 |