| NPI | 1588018931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-16-21721) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 11621721) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2018-04-12 |