| NPI | 1407627490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL L65262504601) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: FL L652625046010) |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2024-01-10 |