| NPI | 1285152942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133003507) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-21-53018) |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2025-01-15 |