| NPI | 1265092068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-19-40083) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: IN 0-19-9506) |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2020-01-10 |