| NPI | 1235891987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA MT013714) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: SC 12331) |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2021-10-11 |