| NPI | 1386218659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VT 146.0134252) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-19-36653) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2024-02-16 |