| NPI | 1962079145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-792) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 1-21-50006) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2023-07-28 |