| NPI | 1922540780 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133000851) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA268) |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2018-02-27 |