| NPI | 1417475351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-18-29229) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 0-16-6981) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2021-10-27 |