| NPI | 1508404013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-19-37960) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KS 1-19-37960) |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2023-12-15 |