| NPI | 1710353537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401000643) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-17-26151) |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2021-10-28 |