| NPI | 1720509581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106E00000X Assistant Behavior Analyst (Licence: TX 103K00000X) |
| Additional Taxonomies | 251S00000X (Licence: TX 247200000X) |
| Enumeration Date | 2017-07-02 |
| Last Update Date | 2017-07-02 |