| NPI | 1629553896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-24-73655) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NJ 1-24-73655) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2024-07-17 |