| NPI | 1124808902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-21-56351) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 2-21-56351) |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-09-29 |