| NPI | 1548016397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2023046696) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-23-67680) |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-11-06 |