| NPI | 1457802613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-51209) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 0-17-7623) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2022-07-21 |