| NPI | 1457724536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NY 001031) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-15-20060) |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2018-06-21 |