| NPI | 1689107161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 2101) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 11725772) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2021-04-16 |