| NPI | 1457887333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: NV LBA0517) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CA 1-16-23223) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2021-04-29 |