| NPI | 1720640063 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 251324) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IN 1-19-34709) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2022-10-13 |