| NPI | 1194204164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133001894) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA1004) |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2021-08-03 |