| NPI | 1881239671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 6514) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-23-66595) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2024-07-03 |