| NPI | 1457803892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ beh000390) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-16-23572) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2019-07-03 |