| NPI | 1154793800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 1-15-19464) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI BA-52) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2019-07-16 |