| NPI | 1700275229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: SC 1-21-48578) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: SC 0-14-6299) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2021-04-05 |