| NPI | 1649543919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1794) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-12-10418) |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2019-10-18 |