| NPI | 1508498833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 00522) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2020000892) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2022-08-28 |