| NPI | 1629425541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 1-18-33401) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI RBT1613002) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2019-02-12 |