| NPI | 1124789300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-753) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-53254) |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2023-03-24 |