| NPI | 1619325750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TX 2605) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO BACB284999) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2021-11-12 |