| NPI | 1881249480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-719) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 2908) |
| 103K00000X Behavior Analyst (Licence: TX 1-19-36779) | |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2023-07-25 |