| NPI | 1700341344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2019003256) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KS 206) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2020-07-28 |