| NPI | 1760003800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA1642) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133002122) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2023-10-19 |