| NPI | 1548853062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH005230) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-21-54286) |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2022-03-03 |