| NPI | 1649712498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WA 61597899) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-19-39172) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2024-11-05 |