| NPI | 1154940807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR B-10213319) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-000567) |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2021-07-06 |