| NPI | 1568911642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-16-23272) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-16-23272) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2021-04-27 |