| NPI | 1902215197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-14-16389) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1661) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2018-09-12 |