| NPI | 1093154494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 12470956) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0146270) |
| 247200000X | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2024-04-04 |