| NPI | 1598212508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-21-47566) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133002645) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2024-10-30 |