| NPI | 1790160505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0134000141) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133001190) |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2022-07-21 |