| NPI | 1700447760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA 394) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: LA 1523) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2020-08-21 |