| NPI | 1508326620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: 1-23-67299) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-19-9635) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2024-04-09 |