| NPI | 1972240661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-636) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 4956) |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-05-16 |