| NPI | 1730534173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1318) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-15-21162) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2020-08-24 |