| NPI | 1992339618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LA L-510) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: LA 0-19-10462) |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2021-05-06 |