| NPI | 1003415340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA BACB502654) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 1991163) |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2021-12-06 |