| NPI | 1750641627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV LBA0065) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV 01-12-4462) |
| Enumeration Date | 2012-05-24 |
| Last Update Date | 2021-03-29 |