| NPI | 1003459835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MN 1-19-37672) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2020-07-20 |