| NPI | 1669176814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-23-64623) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 1-23-64623) |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-09-01 |