| NPI | 1407398753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-18-33186) |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2016-11-17 |
| Last Update Date | 2022-07-18 |