| NPI | 1821635848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN LBA0000000383) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2022-10-13 |