| NPI | 1285241869 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: AZ BEH-000611) | 
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: AZ BACB445747) | 
| Enumeration Date | 2020-09-28 | 
| Last Update Date | 2020-11-23 |