| NPI | 1730675265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133001109) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 262122) |
| 103K00000X Behavior Analyst (Licence: MD LBA453) | |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2023-08-01 |