| NPI | 1730702960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MT PSY-BA-LIC-4550) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 5800) |
| 103K00000X Behavior Analyst (Licence: 1-23-64742) | |
| 103K00000X Behavior Analyst (Licence: CA 1-23-64742) | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2023-07-18 |