| NPI | 1568929354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-16-24131) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 11624131) |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2020-01-30 |