| NPI | 1770935751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-46792) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 6642) |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2024-08-06 |