| NPI | 1760937676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000823) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 001200-1) |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2024-07-01 |