| NPI | 1083236582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-17-26514) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA BH003570) |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2023-08-01 |