| NPI | 1245693282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-13-14430) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VT 146.0122341) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2018-11-14 |