| NPI | 1831670868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000722) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-18-30818) |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2021-05-27 |