| NPI | 1740776137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-17-25439) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS 160034) |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2022-08-12 |