| NPI | 1235638198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 00005001) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI BACB402856) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |