| NPI | 1194155895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-53522) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: 0-15-6435) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2021-12-22 |