| NPI | 1750819520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-40532) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-16-7511) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2020-02-12 |