| NPI | 1467088005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: WI 12041110) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: 1-20-4110) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-12-15 |