| NPI | 1699253542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1386) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: TN 1-21-52870) | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2024-05-13 |