| NPI | 1083023048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-16-23177) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KS k01857652) |
| Enumeration Date | 2014-08-04 |
| Last Update Date | 2020-10-29 |