| NPI | 1760970701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-16-24307) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 11624307) |
| 103K00000X Behavior Analyst (Licence: FL 11624307) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |