| NPI | 1689124679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133002278) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MI 7401001466) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2023-12-11 |