| NPI | 1194180273 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2024014466) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000655) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2024-11-25 |