| NPI | 1437657947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: BCBA1-17-28398) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2019-07-17 |