| NPI | 1598002198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MS 1-15-19039) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS 0-12-5113) |
| Enumeration Date | 2013-01-16 |
| Last Update Date | 2015-07-07 |