| NPI | 1457768004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-46210) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst (Licence: 0-17-8122) | |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2021-01-05 |