| NPI | 1265959233 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-16-23915) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: SC 106E500000X) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2024-09-06 |