| NPI | 1215496492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: VA 0133003977) |
| 103K00000X Behavior Analyst (Licence: MD LBA2032) | |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2024-12-20 |