| NPI | 1205243748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000284) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-14-16719) |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2020-01-15 |