| NPI | 1306383492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 2426) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 001007-1) |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2022-06-14 |