| NPI | 1184169559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 133004083) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AL 1-16-23183) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2025-01-31 |