| NPI | 1063000966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2018041211) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 1-18-32719) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-01-07 |