| NPI | 1659853232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-37163) |
| Additional Taxonomies | 247200000X (Licence: TX RBT-18-54665) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2019-12-04 |