| NPI | 1942716261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-47750) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-21-47750) |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2023-02-15 |