| NPI | 1295285393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 0-16-7281) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-18-31893) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2019-08-15 |