| NPI | 1548505829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000677) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-47162) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2021-05-18 |