| NPI | 1902258759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-16-24739) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KY 268969) |
| 103K00000X Behavior Analyst (Licence: TN 112) | |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2022-04-29 |