| NPI | 1982114443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 3723) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133001196) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2021-01-29 |