| NPI | 1932658382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-16-23612) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 1-16-23612) |
| Enumeration Date | 2016-09-27 |
| Last Update Date | 2022-02-21 |