| NPI | 1588237093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS LBA214) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2019018723) |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-12-29 |