| NPI | 1750937843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 5077) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-22-59562) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2024-08-12 |