| NPI | 1437540523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA175) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000545) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2018-11-27 |