| NPI | 1720759707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-21-56924) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA BH004772) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2024-10-04 |