| NPI | 1174050405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2017014338) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KS 00448) |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2021-08-31 |