| NPI | 1215539564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-21-54713) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2022-01-28 |