| NPI | 1285157644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-17-26740) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI 311-140) |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2019-10-18 |