| NPI | 1710213087 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-17-28806) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 1-17-28806) |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2022-06-01 |