| NPI | 1548760283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-43459) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 3614) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2021-11-22 |