| NPI | 1497268486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-16-22416) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: COBA.294) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2024-12-10 |