| NPI | 1679114391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-19-37020) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 3038) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2022-11-30 |