| NPI | 1841762572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MT PSY-BA-LIC-3626) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MT PSY-ABA-LIC-2594) |
| Enumeration Date | 2018-12-19 |
| Last Update Date | 2021-10-11 |