| NPI | 1235450156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: CO 1-18-31472) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KS 265) |
| 103K00000X Behavior Analyst (Licence: CA 1-18-31472) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2022-12-02 |