| NPI | 1114772548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1690) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 1-24-72068) |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-08-07 |