| NPI | 1598113110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 11621913) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-16-21913) |
| 103K00000X Behavior Analyst (Licence: TX 11621913) | |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2022-11-03 |