| NPI | 1952013120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-56111) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MS 220008) |
| Enumeration Date | 2022-12-20 |
| Last Update Date | 2022-12-20 |