| NPI | 1992364921 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN 982) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: TN 1-20-46413) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2024-03-11 |