| NPI | 1346746153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VT 146.0134209) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VT 0-18-8495) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2021-04-07 |