| NPI | 1790149904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: OR RBT-17-38593) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OR 10175565) |
| 103K00000X Behavior Analyst (Licence: OR 00002711) | |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2018-03-17 |