| NPI | 1356064695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-22-61383) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VT 146.0134282) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |