| NPI | 1972955441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: IL 1-16-23743) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IL 0-16-7213) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-11-10 |