| NPI | 1558806117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA BA60934056) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VT 146.0119641) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2019-11-18 |