| NPI | 1508357179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 187) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2018039862) |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2023-11-30 |