| NPI | 1891399374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA1741) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133003412) |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2024-11-06 |