| NPI | 1487147617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-20-46717) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-20-10851) |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2020-12-22 |