| NPI | 1114519170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-18-32930) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL BACB305910) |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |