| NPI | 1174954374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: HI BA647) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: HI 1-22-57512) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2023-04-26 |