| NPI | 1912378225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-12-10012) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MA 836) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2017-01-04 |