| NPI | 1760188817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MI 7401001994) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: WI 1068-140) |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2024-11-09 |