| NPI | 1114371309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-16-21590) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-16-21590) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2022-02-18 |