| NPI | 1952781841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL C520015909590) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 11624298) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2021-01-22 |