| NPI | 1225543309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-21-47112) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NC 237) |
| 103K00000X Behavior Analyst (Licence: VA 0133003434) | |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2024-10-28 |