| NPI | 1073028080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1253) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-19-40322) |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2024-03-08 |