| NPI | 1619383643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1196) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-14-16044) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2024-10-24 |