| NPI | 1124586714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000683) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: VA 0133000683) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |