| NPI | 1811495252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-18-30400) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1962) |
| 103K00000X Behavior Analyst (Licence: TX 11830400) | |
| Enumeration Date | 2018-01-31 |
| Last Update Date | 2022-01-20 |