| NPI | 1609382266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 288294) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 1-20-43542) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2023-10-02 |