| NPI | 1952862559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-23-67564) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA A67298101) |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2023-08-22 |