| NPI | 1033859855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-55062) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AL 2022-062) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2023-01-16 |