| NPI | 1578070462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-10-7876) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH 44) |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-01-02 |