| NPI | 1043696370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: TN LBA489) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133000437) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2019-07-25 |