| NPI | 1508351164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 995) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OR B-10196041) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2022-05-23 |