| NPI | 1518456284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 210) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2018015026) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2021-06-02 |