| NPI | 1972867646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-12-11595) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BEH-001157) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2024-06-06 |