| NPI | 1285108027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-40066) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-19-40066) |
| 103K00000X Behavior Analyst (Licence: GA 1-19-40066) | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2024-06-24 |