| NPI | 1851808166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 2493) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: TX 0-17-8411) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-11-06 |