| NPI | 1609342401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 11728648) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1883) |
| Enumeration Date | 2018-10-18 |
| Last Update Date | 2024-08-26 |