| NPI | 1962947218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IA 1-16-24475) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ 302) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2019-05-13 |