| NPI | 1932956042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 1-24-72540) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 129413-121) |
| Enumeration Date | 2024-05-06 |
| Last Update Date | 2024-05-23 |