| NPI | 1881240067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 7010) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-56390) |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2024-06-19 |