| NPI | 1245783158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 12046096) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL RBT 1613835) |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2021-01-21 |