| NPI | 1053678623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MT PSY-BA-LIC2489) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2023-10-05 |