| NPI | 1790251965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: RI LBA00154) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA LABA2763) |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2024-07-24 |