| NPI | 1700541729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-56374) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA BH000280) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2024-07-16 |