| NPI | 1649810110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5485) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: TX 1-22-62497) | |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2022-11-14 |