| NPI | 1225641095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MO 2020027662) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: MO 1-20-41910) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2021-06-02 |