| NPI | 1568926285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI R250213210613) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI R25213210613) |
| Enumeration Date | 2019-01-27 |
| Last Update Date | 2019-01-27 |