| NPI | 1225679434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH003310) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-18-33063) |
| Enumeration Date | 2019-09-30 |
| Last Update Date | 2022-11-28 |