| NPI | 1285081984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133001158) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI 1-17-28614) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2018-07-23 |