| NPI | 1417362518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-14-16167) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WA 1-14-16167) |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2023-04-13 |