| NPI | 1184095010 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-48448) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-15-6706) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2022-03-25 |