| NPI | 1386015089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-15-20037) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL 1-15-20037) |
| Enumeration Date | 2015-10-08 |
| Last Update Date | 2021-08-18 |