| NPI | 1154841153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-20-43766) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 247200000X Technician, Other | |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2021-09-21 |