| NPI | 1043690159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2017025683) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KS 00449) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2022-05-03 |