| NPI | 1609238385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-30799) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 247200000X | |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2020-10-22 |