| NPI | 1871216002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-64203) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 0-22-13950) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2023-02-20 |