| NPI | 1679036065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-19-34682) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133001746) |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2021-07-20 |