| NPI | 1740958784 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-21-52508) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 4482) |
| Enumeration Date | 2021-09-03 |
| Last Update Date | 2024-07-22 |