| NPI | 1831778687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-63487) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX RBT-18-54356) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2023-01-11 |