| NPI | 1508174533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-17-25645) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: FL 0-05-1696) | |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2020-09-08 |