| NPI | 1215596754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133002830) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: VA 0134000321) |
| Enumeration Date | 2019-06-09 |
| Last Update Date | 2023-01-10 |