| NPI | 1710380902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-14-9588) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-14-9588) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2023-12-21 |