| NPI | 1639601701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1458) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-17-25123) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2023-07-21 |