| NPI | 1407495195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: GA 1-19-39256) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: GA 11939256) |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2024-04-12 |