| NPI | 1679964092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-23-68288) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX RBT-14-00156) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2023-12-07 |