| NPI | 1689080087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 11416109) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1200) |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2021-05-27 |