| NPI | 1548872054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-20-46619) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-20-11286) |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2021-07-13 |