| NPI | 1184148629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-21-54412) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 8908) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2022-01-19 |