| NPI | 1831638477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-16-24592) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1711) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2018-11-27 |