| NPI | 1770126641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-34974) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 2718) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |