| NPI | 1104297209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-23-68064) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103K00000X Behavior Analyst (Licence: FL 0-19-9944) | |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2024-11-05 |