| NPI | 1780120147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 123231231232) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2017-01-10 |