| NPI | 1679950885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1969) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-17-25947) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2020-08-04 |