| NPI | 1669857900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-15-21274) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 2109) |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2020-04-25 |