| NPI | 1306342340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 2710) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VT 146.0134115) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2019-09-06 |