| NPI | 1609383454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1666) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-17-28979) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2022-11-10 |