| NPI | 1003291972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI 66) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI 1-15-18756) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2023-05-18 |