| NPI | 1861210841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 6413) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-22-62361) |
| Enumeration Date | 2024-09-30 |
| Last Update Date | 2024-09-30 |