| NPI | 1356957872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-45554) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-20-45554) |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2023-02-22 |