| NPI | 1750041679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-56158) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH005707) |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |