| NPI | 1629372453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1908) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-11-8961) |
| Enumeration Date | 2011-01-09 |
| Last Update Date | 2022-11-04 |