| NPI | 1649506189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BA-54) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 1-07-3523) |
| 103K00000X Behavior Analyst (Licence: NV LBAT081211) | |
| Enumeration Date | 2009-10-18 |
| Last Update Date | 2015-04-07 |