| NPI | 1023577335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MD LBA526) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA626) |
| Enumeration Date | 2019-03-16 |
| Last Update Date | 2023-10-10 |