| NPI | 1336488139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VT 146.0134191) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 3417) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2023-07-25 |