| NPI | 1710276258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS LBA00437) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2021018289) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2021-06-04 |