| NPI | 1841592268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1107647) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-10-7647) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2019-08-29 |