| NPI | 1548872898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 3435) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 003242712A) |
| 103K00000X Behavior Analyst (Licence: 1-20-44030) | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2023-02-14 |