| NPI | 1316559511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: PA 1-20-44044) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-20-44044) |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2023-01-23 |