| NPI | 1780159517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-40343) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: CA 0-18-9123) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2020-01-13 |