| NPI | 1578019352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000833) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: RI LBA00076) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2022-07-21 |