| NPI | 1508391996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103K00000X Behavior Analyst (Licence: VA 0133001218) |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: VA 0134000183) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2019-02-25 |