| NPI | 1003304171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-50676) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 01910399) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2021-08-04 |