| NPI | 1114125119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2017004899) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2023-11-15 |