| NPI | 1659734564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA61454215) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-16-22058) |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2023-07-06 |