| NPI | 1073965877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-53516) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-18-8851) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2021-09-24 |