| NPI | 1972960680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 000342) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TX 5884) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2024-03-28 |