| NPI | 1902242324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 1185) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 152370780) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2024-03-05 |