| NPI | 1639557671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-45715) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH001178) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2023-03-06 |