| NPI | 1114434396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 1-18-29311) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2017043008) |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2018-05-31 |