| NPI | 1639680952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-817) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133001007) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2023-11-07 |