| NPI | 1679058895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VT 146.0134138) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: VT 147.0123004) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2019-01-17 |