| NPI | 1720745367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-16-22454) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 2926) |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2021-11-18 |