| NPI | 1104350875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL RBT-20-144385) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2021-08-16 |