| NPI | 1972143832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: ND L75) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: SD 061-ABA) | |
| 103K00000X Behavior Analyst (Licence: MN 1-19-40300) | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2024-03-13 |