| NPI | 1629665898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 4394) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-21-52822) |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2023-07-17 |