| NPI | 1962774323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 133) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 1-11-9204) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2023-04-14 |