| NPI | 1306206453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 1-14-17666) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2016004752) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |