| NPI | 1073924973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 0-13-5704) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-17-28296) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2021-09-20 |