| NPI | 1902293715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA LABA4118) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: WA 60547284) | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2024-10-30 |