| NPI | 1962614032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MN 1-05-2536) |
| Additional Taxonomies | 174400000X Specialist (Licence: 1-05-2536) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2019-01-08 |