| NPI | 1992940100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-13-14939) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000518) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2022-11-30 |