| NPI | 1144899188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-52929) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: RBT-18-51685) |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-09-23 |