| NPI | 1679075030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CT 1587) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: UT 1-19-39434) |
| 103K00000X Behavior Analyst (Licence: TX 3684) | |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2023-03-21 |