| NPI | 1720844483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA C-176) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: LA 0-24-14969) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |