| NPI | 1639690753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA-346) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI 1-19-35420) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2023-06-06 |