| NPI | 1679340020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 1171-140) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-23-69430) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |