| NPI | 1205402237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NC 1-21-50906) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC RBT-18-57774) |
| Enumeration Date | 2021-06-01 |
| Last Update Date | 2021-08-03 |