| NPI | 1235507047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-51867) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 0-15-6572) |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2021-08-16 |