| NPI | 1326377011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 247) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 1-07-3565) |
| 103K00000X Behavior Analyst (Licence: VA 0133000082) | |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2017-04-11 |