| NPI | 1962835736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-13-13968) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH003453) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2021-03-24 |