| NPI | 1023628492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-20-44225) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 266040) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2023-12-07 |