| NPI | 1710493051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 6706) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-24-70898) |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2024-10-23 |