| NPI | 1598256851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-26200) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1390) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2020-09-18 |