| NPI | 1972872489 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-42008) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-14-5917) |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2022-03-21 |