| NPI | 1245999176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-21-53729) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH005377) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2022-08-04 |