| NPI | 1073927364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 1-14-17025) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-14-17025) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2022-12-28 |