| NPI | 1780230201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD 1338) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133001482) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2022-11-15 |