| NPI | 1144731407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-19-37687) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-17-7917) |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2019-09-26 |