| NPI | 1114557139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 1-16-24129) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2017008727) |
| Enumeration Date | 2020-01-17 |
| Last Update Date | 2020-01-17 |