| NPI | 1114402898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-41716) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-18-9045) |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2020-03-04 |