| NPI | 1053778688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 11520844) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-15-20844) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2023-09-28 |