| NPI | 1619516861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-39966) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 262451) |
| Enumeration Date | 2020-01-04 |
| Last Update Date | 2022-06-06 |