| NPI | 1992277099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-22-57670) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA bh003951) |
| Enumeration Date | 2018-12-30 |
| Last Update Date | 2023-03-14 |