| NPI | 1700294477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: RBT-18-57305) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH001239) |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2018-06-06 |