| NPI | 1770061707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-304) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: L-304) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |