| NPI | 1922422179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NM 1-21-53426) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 4555) |
| Enumeration Date | 2014-02-08 |
| Last Update Date | 2021-11-16 |