| NPI | 1033876768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-65817) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: IA 123056) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2024-05-06 |