| NPI | 1003336546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-16-23630) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI 183-140) |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2019-06-19 |