| NPI | 1568019800 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-19-36747) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AR 1-19-36747) | 
| 103K00000X Behavior Analyst (Licence: OK 1-19-36747) | |
| Enumeration Date | 2019-08-21 | 
| Last Update Date | 2024-06-12 |