| NPI | 1578183570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-50336) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 1-21-78690) |
| Enumeration Date | 2020-04-20 |
| Last Update Date | 2021-06-03 |