| NPI | 1790272342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 525) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-22-60453) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2024-07-31 |