| NPI | 1114692027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-20-44709) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH005101) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-08-12 |