| NPI | 1245473008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: MA 762) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-08-4781) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2022-07-24 |