| NPI | 1578068821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2022000275) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133002326) |
| 103K00000X Behavior Analyst (Licence: MI 7401001221) | |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-01-24 |