| NPI | 1669826061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1065) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-08-4142) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2021-01-22 |