| NPI | 1861992331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BA-0328) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 00000) |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2022-08-04 |