| NPI | 1780982025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 133000554) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA-158) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2018-07-24 |