| NPI | 1902361850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV 1-20-45565) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NV LBA0372) |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2021-01-14 |