| NPI | 1144625864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-16-21447) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2022-01-27 |