| NPI | 1578275459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-23-68384) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 6326) |
| Enumeration Date | 2022-12-22 |
| Last Update Date | 2024-10-15 |