| NPI | 1962003897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-20-45159) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-20-45159) |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2024-02-20 |