| NPI | 1396007472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-09-5755) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-09-5755) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2018-01-10 |