| NPI | 1952942351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3093) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-19-37899) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2022-08-09 |