| NPI | 1083065312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 1-17-27054) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: MI 0-16-7360) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2019-09-03 |