| NPI | 1730563313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-33044) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 0-15-6598) |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2019-11-14 |