| NPI | 1447720875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MT PSYCBALIC2530) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2021-07-12 |