| NPI | 1114488533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 11055) |
| 103K00000X Behavior Analyst (Licence: FL 1-21-48236) | |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2021-03-10 |