| NPI | 1376849216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-55215) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: SC 0103879) |
| Enumeration Date | 2011-02-09 |
| Last Update Date | 2021-11-24 |