| NPI | 1659936649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-17-26555) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1984) |
| Enumeration Date | 2019-05-05 |
| Last Update Date | 2021-05-18 |