| NPI | 1073050118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: LBA493) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MD LBA493) |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2018-10-12 |