| NPI | 1275208027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-57614) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 0-21-12164) |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2022-02-16 |