| NPI | 1609311778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 4317) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA468) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2023-08-25 |