| NPI | 1114319936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2015002575) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: RI LBA00081) |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2016-10-17 |