| NPI | 1073154902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-19-40268) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-19-40268) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2024-08-28 |