| NPI | 1710466297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH005255) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-21-48338) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2021-04-12 |