| NPI | 1659751881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH002765) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-18-31491) |
| Enumeration Date | 2015-06-03 |
| Last Update Date | 2021-11-09 |