| NPI | 1477085884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-16-24474) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OR 10182389) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2020-10-23 |