| NPI | 1063830610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-14-15690) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MN 1-14-15690) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2025-01-03 |