| NPI | 1992358733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-18-32966) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: PA BH004209) |
| Enumeration Date | 2019-07-21 |
| Last Update Date | 2021-07-22 |