| NPI | 1528515772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-17-29032) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 240230) |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2019-08-05 |