| NPI | 1154782217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-19-36699) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IN 0-15-6701) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2022-02-02 |