| NPI | 1629745385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-23-64146) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 12364146) |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2023-04-18 |