| NPI | 1265040281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-22-62874) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-22-62874) |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2023-07-10 |