| NPI | 1699124529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3167) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-14-9441) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2021-07-22 |