| NPI | 1033463294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: ID 1-16-23482) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: ID 0-12-5129) |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2021-01-14 |