| NPI | 1609361773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-18-31305) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-18-31305) |
| Enumeration Date | 2018-06-29 |
| Last Update Date | 2023-03-14 |