| NPI | 1831552330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VT 1-04-1523) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133001483) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2019-09-16 |