| NPI | 1093130049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL PY6188) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL PY6188) |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2024-09-27 |