| NPI | 1417528001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MT PSY-BA-LIC-4061) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-21-47742) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2022-05-25 |