| NPI | 1588030365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MS 1-21-50421) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS RBT-15-01444) |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2021-12-03 |