| NPI | 1780915124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-06-3148) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 350) |
| Enumeration Date | 2010-01-25 |
| Last Update Date | 2020-06-17 |