| NPI | 1679055396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-313) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA 313) |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2021-05-26 |