| NPI | 1801160163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-17-27187) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: SC 0-12-4403) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2020-05-27 |