| NPI | 1295274181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-02-0935) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 000413-01) |
| 103K00000X Behavior Analyst (Licence: MA 0026) | |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |