| NPI | 1154858652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-53902) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 247200000X) |
| Enumeration Date | 2017-05-15 |
| Last Update Date | 2022-08-10 |