| NPI | 1376094052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-16-23294) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-16-23294) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2024-11-17 |