| NPI | 1588268395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH003338) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-20-45351) |
| Enumeration Date | 2020-11-23 |
| Last Update Date | 2020-12-21 |