| NPI | 1811261407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-12-10206) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-12-9835) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2019-06-04 |