| NPI | 1174011514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 247200000X) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 247200000X) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |