| NPI | 1043726417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA483) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133001129) |
| 103K00000X Behavior Analyst (Licence: PA BH005399) | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2021-10-14 |