| NPI | 1760037642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IN 1-20-42014) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 267494) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2021-10-05 |