| NPI | 1477126795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-53974) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH005400) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2022-01-11 |