| NPI | 1881138634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-34235) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OR B-10196524) |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2021-04-14 |