| NPI | 1871016865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA BH000868) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA 1-16-21456) |
| Enumeration Date | 2017-07-21 |
| Last Update Date | 2017-07-21 |