| NPI | 1023512183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-50484) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1851890) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2021-10-07 |