| NPI | 1073050324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-26089) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: MI 0-16-7266) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2018-11-09 |