| NPI | 1376028951 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-18-32687)  | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IN 1-18-32687)  | 
| 103K00000X Behavior Analyst (Licence: CO 1-18-32687)  | |
| Enumeration Date | 2018-09-28 | 
| Last Update Date | 2023-07-27 |