| NPI | 1891153086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-15-19565) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 11519565) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2019-05-08 |