| NPI | 1609388107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-243) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA 1-17-27755) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2019-03-07 |