| NPI | 1164162640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: RI LBA00293) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VT 146.0134248) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-03-31 |