| NPI | 1164127726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MS 1-23-64023) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS BACB379080) |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |