| NPI | 1750808937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KY 264596) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: KY 174292) |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2021-05-21 |