| NPI | 1588187223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-26422) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 2006) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |