| NPI | 1063749679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-41435) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-01-0411) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2020-03-25 |