| NPI | 1871091009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: KS 1-19-34948) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2018035955) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2023-10-06 |