| NPI | 1760988489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-20-45006) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-18-30094) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2021-07-25 |