| NPI | 1336550870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133001290) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 3539159) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2021-12-03 |