| NPI | 1568052819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 3603) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: RI 1-20-45466) |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-06-28 |