| NPI | 1891350674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-34631) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 2019003789) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-06-20 |