| NPI | 1366159774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NJ 1-22-60790) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-22-60790) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2022-11-04 |