| NPI | 1225678659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-48272) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-19-10528) |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2021-03-12 |